2023 AANS Annual Scientific Meeting On-Demand-AANS/CNS Section Disorders of the Spine & Peripheral Nerves Session

Video Transcription

Video Summary

The first video summary describes a case of a patient with spinal metastatic disease who initially responded to surgery and radiation, but later experienced disease progression and permanent neurological deficits. The importance of close monitoring, regular imaging follow-up, and early intervention is highlighted.<br /><br />The second video summary discusses the American Spine Registry (ASR), which is a partnership between the American Association of Neurological Surgeons and the American Academy of Orthopedic Surgeons. ASR aims to collect data and support evidence-based quality improvement in spinal surgery. The challenges in collecting data for spine surgery and the implementation of the surgeon-indicated data form called OR SMART are discussed.<br /><br />The third video transcript presents a case of a 50-year-old female with neck and shoulder pain and weakness in her left shoulder. Three treatment options for her soft disc herniation are discussed: anterior cervical discectomy and fusion, arthroplasty, and posterior discectomy. The panelists present their arguments for their preferred treatment option, considering factors such as patient age and the presence of weakness.<br /><br />The fourth video transcript focuses on a case of a post-operative neurological deficit and the importance of proactive measures to avoid potential litigation. The importance of immediate imaging, thorough evaluation, open communication with the patient about risks, and clear documentation is emphasized. The panel highlights the need to maintain a strong doctor-patient relationship, be responsive to the patient's concerns, and seek help when necessary.

Keywords

spinal metastatic disease

surgery

radiation

disease progression

neurological deficits

close monitoring

imaging follow-up

American Spine Registry

data collection

evidence-based quality improvement

spinal surgery

surgeon-indicated data form

soft disc herniation

treatment options

post-operative neurological deficit